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REFERENCES
PMC10076092
Background
DISEASE, TRIGGER FINGER, TRIGGER FINGER
Trigger finger is a common disease with a lifetime prevalence of 2%. One of the frequently preferred non-surgical treatments is blinded injection around the A1 pulley. This study aims to compare the clinical results of ultrasound-guided and blinded corticosteroid injection in the trigger finger.
PMC10294380
Methods
TRIGGER FINGER, COMPLICATIONS
In this prospective clinical study, 66 patients who had persistent symptoms of a single trigger finger were included. Patients with similar baseline characteristics such as age, gender, triggering period, and comorbidities were randomized. 34 patients had ultrasound-guided (UG), and 32 had blinded injections (BG). QDAS...
PMC10294380
Results
The mean age was 52,66 (29–73) years. There were 18 male and 48 female patients. In the UG, the triggering resolved faster, returning to work was earlier, and the medication period was shorter (
PMC10294380
Conclusion
TRIGGER FINGER
Using ultrasound guidance for corticosteroid injections is more effective for treating trigger fingers than the blinded method, leading to better results and a faster return to work in the early stages of treatment.
PMC10294380
Keywords
PMC10294380
Background
inflammation
INFLAMMATION, TRIGGER FINGER, HAND SWELLING
Trigger finger (TF) is the inflammation and swelling of the retinacular sheath that gradually restricts the mobility of flexor tendons [
PMC10294380
Materials and methods
finger contracture
RHEUMATOID ARTHRITIS, NEUROLOGICAL DISEASE, TRIGGER FINGER, DISEASES, COMPLICATIONS
The present study was designed as a prospective controlled study and initiated upon the approval of the local ethics committee. The present study included successive patients with Quinnel stage 2,3 or 4 trigger fingers who did not respond to the conservative treatment (splint, non-steroidal anti-inflammatory, drugs and...
PMC10294380
Statistical analysis
Excel (Microsoft Corporation, WA, USA) was used to collect and manage the study data, and SPSS version 24.0 (IBM Corporation, Armonk, NY, USA) was used to perform data analyses. The quantitative data were presented as mean ± standard deviation, whereas the qualitative data were presented as frequencies with percentages...
PMC10294380
Author contributions
MT: Design of the work, drafting the work, approval of the version to be published, agreement to be accountable for all aspects of the work. KT: Interpretation of data for the work, revising the work critically for important intellectual content, approval of the version to be published, agreement to be accountable for ...
PMC10294380
Funding
There is no funding source.
PMC10294380
Availability of data and materials
Not applicable.
PMC10294380
Declarations
PMC10294380
Competing interests
The authors declare no competing interests.
PMC10294380
Ethics and consent to participate
This study was approved by the institutional review board of the No. 2/2020.K-060 of Istinye University.
PMC10294380
Competing interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
PMC10294380
References
PMC10294380
Background
postoperative gastrointestinal hypokinesis, Gastrointestinal hypokinesis
SIDE EFFECT
Gastrointestinal hypokinesis can occur transiently after benign gynecologic surgery. Opioids cause the side effect of postoperative gastrointestinal hypokinesis, but an opioid-sparing anaesthetic protocol based on esketamine reduces intraoperative opioid consumption. Therefore, this study hypothesised that an opioid-sp...
PMC10288755
Methods
PONV
This was a prospective randomized controlled double-blind study conducted in a single centre. All patients scheduled for elective benign laparoscopic gynaecological surgery at Xing’an Meng People’s Hospital, Inner Mongolia Autonomous Region, from November 2021 to April 2022 were consecutively enrolled and randomly divi...
PMC10288755
Results
intraoperative bleeding
INTRAOPERATIVE BLEEDING
A total of 71 patients were enrolled in this study, including 35 in Group OS and 36 in Group C. The general condition, operative time, type of surgery, intraoperative bleeding, intraoperative fluid volume and intraoperative urine volume were not statistically different between the two groups. Compared with Group C, sig...
PMC10288755
Conclusion
PONV
The esketamine-based opioid-sparing anaesthetic protocol can shorten the postoperative first flatus time after benign laparoscopic surgery in gynaecology, and reduce the incidence of PONV. In addition, the application of esketamine may reduce the postoperative opioid dose requirement of patients.
PMC10288755
Trial registration
: This study was registered with the China Clinical Trials Registry (registration number: ChiCTR2100052528, 30/10/2021).
PMC10288755
Keywords
PMC10288755
Introduction
POI, gastrointestinal hypokinesis, trauma
POSTOPERATIVE INTESTINAL OBSTRUCTION, INTRAOPERATIVE BLOOD LOSS
Benign gynecologic surgery, including laparoscopic surgery, is associated with transient gastrointestinal hypokinesis leading to postoperative intestinal obstruction (POI) [Previous studies have shown that the incidence of POI is associated with operative time, intraoperative blood loss, surgical trauma, intestinal man...
PMC10288755
Methods
allergy
ALLERGY
This prospective randomized double-blinded clinical trial, which adhered to CONSORT guidelines, was approved and was performed from November 2021 to April 2022, in accordance with the Helsinki Declaration of the World Medical Association. The study was reviewed and approved by the Medical Ethics Committee of Xi’an Leag...
PMC10288755
Blinding and randomisation method
In this study, patients were randomly grouped using computer-generated random numbers, and the results of the grouping were kept in sealed opaque envelopes. After obtaining informed consent from the patients, the nurse opened the envelope and divided the patients into either the opioid-sparing anesthesia group (OS grou...
PMC10288755
Anaesthesia method
µg.kgPropofol, NRS, pain
INFILTRATION
All patients fasted for 6–8 h and abstained from drinking for 4 h. After patients entered the operating room, intravenous access was routinely opened, oxygen was administered by face mask, and heart rate, noninvasive blood pressure, bispectral index (BIS), respiration, and oxygen saturation were continuously monitored....
PMC10288755
Outcomes and data collection
PONV, dizziness, nausea and/or vomiting, pain
SECONDARY
The primary endpoint of this study was the time of first postoperative flatus. Secondary endpoints were anaesthesia resuscitation time, postoperative first feeding time, postoperative nausea and/or vomiting (PONV) incidence, dizziness, postoperative numerical rating scale (NRS) of pain and hospital days postoperatively...
PMC10288755
Statistical analysis
SD
Based on the results of the pretest, the time to first postoperative expulsion was 17.2 ± 6.9 h for patients receiving the opioid-sparing anaesthesia protocol and 27.1 ± 16.2 h for patients receiving the conventional anaesthesia protocol. Taking a test efficacy of 90% and α as 0.05, a sample size of 35 cases per group ...
PMC10288755
Results
postoperative nausea and/or vomiting, bleeding, abdominal adhesions, pain, PONV, NRS
ADVERSE REACTIONS, BLEEDING
A total of 94 consenting patients participated in this study from November 2021 to April 2022 at Xing’an Meng People’s Hospital, Inner Mongolia Autonomous Region. Among them, 9 patients had their surgical plan changed to gynaecological surgery with appendectomy on the day of surgery and 7 preoperative patients declined...
PMC10288755
Acknowledgements
We thank the anesthesiologists and nurses involved in intraoperative anesthesia at the Department of Anesthesiology, Xing’an League People’s Hospital, Inner Mongolia Autonomous Region.
PMC10288755
Authors’ contributions
Yuhua Ma: Conceptualization, Methodology, Validation, Formal analysis, Investigation, Writing - Original Draft and Supervision. Xue Cao, Lin Zhang, Suozhu Bao, Jie Ren and Weiwei Ma: Resources and Data Curation. Ran Zhang: Conceptualization, Methodology, Validation, Formal analysis, Investigation, Writing - Review & Ed...
PMC10288755
Funding
Support was provided solely from institutional and/or departmental sources.
PMC10288755
Data Availability
The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.Data supporting the results of this study are available from the Xing’an Meng People’s Hospital, Inner Mongolia Autonomous Region, but the availability of these data is restricted and they are us...
PMC10288755
Declarations
PMC10288755
Ethics approval and consent to participate
The study was reviewed and approved by the Medical Ethics Committee of Xi’an League People’s Hospital, Inner Mongolia Autonomous Region (approval number: YJXM2021YB2, 25/09/2021, Chairman: Hui Jiang). All patients signed an informed consent form. This prospective randomized double-blinded clinical trial, which adhered ...
PMC10288755
Consent for publication
Not applicable.
PMC10288755
Competing interests
The authors declare that they have no competing interests.
PMC10288755
References
PMC10288755
Background
Dexmedetomidine, one of the sedatives, has an analgesic effect. We aimed to investigate postoperative analgesia with dexmedetomidine as adjuvants for procedural sedation using perfusion index (PI).
PMC10214613
Methods
NRS, pain
In this prospective, randomized, case-control, observational study, 72 adult patients, 19–70 years, who were scheduled for chemoport insertion under monitored anesthesia care were performed. According to the group assignment, remifentanil or dexmedetomidine was simultaneously infused with propofol. The primary outcome ...
PMC10214613
Results
During PACU staying, PI values were significantly different between the two groups PI values at 30 min after admission to the PACU were 1.3 (0.9–2.0) in the remifentanil group and 4.5 (2.9–6.8) in the dexmedetomidine group (median difference, 3; 95% CI, 2.1 to 4.2;
PMC10214613
Conclusion
postoperative pain, pain
We could not find a significant correlation between PI and NRS score for postoperative pain control. Using PI as a single indicator of pain is insufficient.
PMC10214613
Trial registration
Clinical Trial Registry of Korea,
PMC10214613
Keywords
PMC10214613
Introduction
Monitored anesthesia care is an anesthetic method applied in relatively simple surgeries, especially in ambulatory surgeries that do not require hospitalization. For adequate sedation, anesthesiologists choose various combinations of sedatives and analgesics. Remifentanil, a µ-opioid, is widely used to induce anesthesi...
PMC10214613
Materials and methods
PMC10214613
Ethics approval and consent to participate
-11, RECRUITMENT
This prospective, randomized, case-control, observational study was approved by the Samsung Medical Center Institutional Review Board, Samsung Medical Center, Seoul, Republic of Korea (Chairperson: Prof. Young Keun On) on 6th, December 2018 (no. SMC 2018-11-111). Prior to the recruitment of the first participants, we r...
PMC10214613
Patients and protocols
allergy
ALLERGY
Adult patients aged 19–70 years with American Society of Anesthesiologists physical status I and II scheduled for elective chemoport insertion under monitored anesthesia care were assessed for eligibility and were included between February 2019 and December 2019. Exclusion criteria were allergy to certain anesthetic ag...
PMC10214613
Randomization and group allocation
One statistician who was not involved in this trial generated a random allocation sequence using permuted-block randomization with a block size of 4. Randomization and group allocation were performed in a 1:1 ratio using the sealed opaque envelope technique. The study drugs were prepared in a 20 ml syringe depending on...
PMC10214613
Remifentanil group
remifentanil 1 mg (Remiva Inj., Remifentanil Hydrochloride, Hana Pharm Co., Ltd.) + 0.9% saline 20 ml.
PMC10214613
Dexmedetomidine group
dexmedetomidine 80 μg (premixed solution of 4 mcg/ml) (Precedex Inj. Dexmedetomidine Hydrochloride, Pfizer Ltd.)
PMC10214613
Protocol
Pain, pain
Premedication was not permitted for all participants. The prepared study drug was delivered to a clinical anesthesiologist (unrelated to this study) just before the start of anesthesia induction. On arrival in the operating room, standard monitors, including electrocardiograms, pulse oximetry, and noninvasive blood pre...
PMC10214613
Outcomes
NRS
SECONDARY
The primary outcome was the comparison of PI values 30 min after admission to the PACU. To evaluate the lasting effect of the anesthetic used during sedation, PI measurement time of the primary outcome was set to 30 min after entering the PACU. The secondary outcomes were the comparison of NRS scores and PI values acco...
PMC10214613
Statistical analysis
NRS
The sample size was calculated based on unpublished clinical data. The mean (standard deviation) of PI value at 30 min after entering PACU was 2.81 (1.88) in dexmedetomidine group and 1.5 (1.38) in remifentanil group. To evaluate this at a significance level of 5% and power of 90%, we needed 35 patients in each group. ...
PMC10214613
Acknowledgements
Not applicable.
PMC10214613
Author contributions
Doyeon Kim: helped with study concept development, study design, data collection, data analysis and interpretation, writing and drafting the article, and revising the manuscript.-Changjin Lee: helped with data analysis, and interpretation.-HanWool Bae: helped with data analysis, and interpretation.-Jeayoun Kim: helped ...
PMC10214613
Funding
Not applicable.
PMC10214613
Data availability
The data associated with the paper are not publicly available but are available from the corresponding author on reasonable request.
PMC10214613
Declarations
PMC10214613
Competing interests
The authors declare that they have no competing interests.
PMC10214613
Ethics approval and consent to participate
-11, RECRUITMENT
This prospective, randomized, cohort observational study was approved by the Samsung Medical Center Institutional Review Board, Samsung Medical Center, Seoul, Republic of Korea (Chairperson: Prof. Young Keun On) on 6th, December 2018 (no. SMC 2018-11-111). Prior to the recruitment of the first participants, we register...
PMC10214613
Consent for publication
Not applicable.
PMC10214613
Previous presentation
Not applicable.
PMC10214613
References
PMC10214613
Key Points
PMC10015302
Question
Is there an association between standardized e-cigarette packaging and interest in trying e-cigarette products among samples of youths and adults in Great Britain?
PMC10015302
Findings
In this study comprising 2 surveys conducted among 2469 youths (aged 11-18 years) and 12 046 adults (aged ≥18 years) from Great Britain, youths had higher odds of reporting no interest in trying e-cigarettes in standardized green packaging than e-cigarettes in branded packaging, but adults had lower odds of reporting n...
PMC10015302
Meaning
This study suggests that standardized packaging measures may reduce the appeal of e-cigarettes among youths without reducing their appeal among adults.
PMC10015302
Importance
e-Cigarette vaping among youths and adults has increased in Great Britain. The design of e-cigarette packaging may appeal to youths. Regulations that reduce the appeal of e-cigarettes to youths may deter adult smokers from trying e-cigarettes to help them quit smoking.
PMC10015302
Objective
To examine the association of fully branded and standardized e-cigarette packaging with interest in trying products among youths and adults in Great Britain.
PMC10015302
Design, Setting, and Participants
In this survey study comprising 2 surveys, the online Action on Smoking and Health Smokefree Great Britain survey collected data between March 25 and April 16, 2021, from a representative sample of 2469 youths (aged 11-18 years) and between February 18 and March 18, 2021, from a representative sample of 12 046 adults (...
PMC10015302
Interventions
A between-individuals experimental design was used to examine participants’ perceptions of e-cigarette packs that were digitally altered to remove brand imagery and color. Participants were randomly assigned to view a set of 3 e-cigarette packs from 1 of 3 different packaging conditions: (1) fully branded packs (contro...
PMC10015302
Main Outcomes and Measures
REGRESSION
Youth participants were asked which product people their age would be most interested in trying, while adult participants were asked which product they would be most interested in trying. All participants could respond “no interest” or “don’t know.” Logistic regression models tested whether reporting no interest in try...
PMC10015302
Results
This study included 2469 youths (1286 female youths [52.1%]; mean [SD] age, 15.0 [2.3] years) and 12 046 adults (6412 female [53.2%]; mean [SD] age, 49.9 [17.4] years). Youths had higher odds of reporting no interest among people their age in trying the e-cigarettes packaged in green (292 of 815 [35.8%]; adjusted odds ...
PMC10015302
Conclusions and Relevance
The findings of this survey study suggest that standardized packaging measures may reduce the appeal of e-cigarettes among youths without reducing their appeal among adults.This survey study examines the association of fully branded vs standardized e-cigarette packaging with interest in trying products among youths and...
PMC10015302
Introduction
MAY
In Great Britain in 2022, 8.3% of adults and 7.0% of youths aged 11 to 17 years reported current vaping.e-Cigarette marketing, including packaging, has been found to influence the appeal of vaping products to youth and adult smokers.Standardized (or “plain”) packaging for combustible tobacco cigarettes was introduced i...
PMC10015302
Methods
PMC10015302
Data Sources
SECONDARY, ASH
The data provided in this survey study were obtained from 2 online surveys: the Action on Smoking and Health (ASH) 2021 Smokefree Great Britain Youth Survey and the ASH 2021 Smokefree Great Britain Adult Survey. For the youth survey, informed consent was provided either by the parents of those aged 11 to 15 years or by...
PMC10015302
ASH Youth Survey
ASH
The online 2021 ASH Smokefree Great Britain Youth Survey collected data from young people aged 11 to 18 years between March 25 and April 16, 2021. Participants were drawn from an existing online panel maintained by YouGov. Active sampling was used, which dynamically evaluates what surveys are available for a particular...
PMC10015302
e-Cigarette Packs by Experimental Condition
The green standardized pack color, using the same olive-green Pantone 448 C shade in a matte finish, was chosen to reflect the current standardized packaging requirements for tobacco cigarette packs in Great Britain.The survey was completed by 2513 youths. Respondents who reported “Prefer not to say” for the outcome (n...
PMC10015302
No Interest in Trying e-Cigarette Products Among People Your Age (Outcome)
Respondents were shown a set of 3 e-cigarette packs based on experimental condition (
PMC10015302
Vaping Status
Respondents were asked, “Have you ever heard of e-cigarettes? They are also sometimes called vapes, shisha pens or electronic cigarettes.” Those who responded “Yes” were asked “Which ONE of the following is closest to describing your experience of e-cigarettes?” with available responses ranging from “I have never used ...
PMC10015302
Smoking Status
Respondents were asked which statement best applied to their experience with cigarettes. Response options were classified into 3 categories: “never smoker,” “ever smoker,” and “current smoker” (including occasional and regular smoking) (eTable 1 in
PMC10015302
ASH Adult Survey
ASH
The online 2021 ASH Smokefree Great Britain Adult Survey collected data on tobacco and vaping product use among adults aged 18 years or older between February 18 and March 18, 2021. Like the ASH Youth Survey, participants were drawn from an existing online panel maintained by YouGov using active sampling. The experimen...
PMC10015302
No Interest in Trying e-Cigarette Products (Outcome)
Respondents were shown a set of 3 e-cigarette packs based on experimental condition (
PMC10015302
Vaping Status
Respondents were asked which statement best described their experience with e-cigarettes: “I have never heard of e-cigarettes and never tried them,” “I have heard of e-cigarettes but have never tried them,” “I have tried e-cigarettes but do not use them (anymore),” “I have tried e-cigarettes but still use them,” and “D...
PMC10015302
Smoking Status
Respondents were asked which statement best applied to their experience with cigarettes. Response options were classified into 3 categories: “never smokers,” “former smokers,” and “current smokers” (including occasional and regular smoking) (eTable 1 in
PMC10015302
Statistical Analysis
The χAll analyses were conducted in SPSS, version 28 (IBM Corp). All statistical tests were 2-sided, and
PMC10015302
Results
ASH
The ASH Youth Survey was completed by 2513 youths, of whom 2469 (1286 female youths [52.1%]; mean [SD] age, 15.0 [2.3] years) were included in the analytical sample; the ASH Adult Survey was completed by 12 248 adults, of whom 12 046 (6412 women [53.2%]; mean [SD] age, 49.9 [17.4] years) were included in the analytical...
PMC10015302
Packaging Experiment: Youth Survey
Overall (across all conditions), 943 youths (38.2%) reported that people their age would be interested in trying any of the vaping products, 794 (32.2%) reported that people their age would have no interest in trying any of the products, and 732 (29.6%) reported that they did not know which of the displayed vaping prod...
PMC10015302
Adjusted Associations Between Reporting No Interest Among People Their Age in Trying Any of the Products Shown and Packaging Condition, ASH Youth Survey 2021 (N = 2469)
REGRESSION, INTERACTIONS, ASH
Abbreviations: AOR, adjusted odds ratio; ASH, Action on Smoking and Health; NA, not applicable.Analyses were adjusted for sex, age group, socioeconomic status, vaping status, and smoking status. All data are unweighted.Reference category is selecting any of the products or “Don’t know.”ABC1 indicates high socioeconomic...
PMC10015302
Associations Between Reporting No Interest in Trying Any of the Products Shown and Packaging Condition, ASH Adult Survey 2021 (N = 12 046)
REGRESSION, INTERACTIONS, ASH
Abbreviations: AOR, adjusted odds ratio; ASH, Action on Smoking and Health; NA, not applicable.Analyses were adjusted for sex, age group, socioeconomic status, vaping status, and smoking status. All data are unweighted.Reference category is “Other,” including selecting any of the products and “Don’t know.”ABC1 indicate...
PMC10015302
Discussion
Findings differed between youths and adults in the associations between e-cigarette packaging and interest in trying e-cigarette products. Compared with fully branded packaging, green standardized e-cigarette packaging with no brand imagery was associated with decreased interest in trying the vaping products shown amon...
PMC10015302
Limitations and Strengths
ASH
This study has some limitations. First, there were differences between the youth and adult surveys in the wording of the items assessing outcomes, as well as vaping and smoking status. The ASH Youth Survey measure asked respondents about interest among people their age; therefore, responses did not represent participan...
PMC10015302
Conclusions
The findings of this survey study suggest that reducing brand imagery through standardized e-cigarette packaging is associated with decreased appeal of e-cigarette products among youths, specifically never smokers and never vapers, without reducing its appeal among adult smokers. Overall, our findings lend support for ...
PMC10015302
Background
The purpose of this study is to explore whether decreasing the number of sutures can improve the quality of life after inferior third molar extraction.
PMC10499349
Material and Methods
trismus, swelling
DRY SOCKET, TRISMUS, POSTOPERATIVE COMPLICATIONS
This study used a three-arm randomized design that included 90 individuals. Patients were randomized and divided into three groups—the airtight suture group (traditional), the buccal drainage group, and the no-suture group. Postoperative measurements, including treatment time, visual analog scale, questionnaire on pos...
PMC10499349
Results
postoperative pain
The buccal drainage group showed a significant decrease in postoperative pain and better speech ability than the no-suture group on the 3st day, with a mean of 1.3 and 0.7 (
PMC10499349
Introduction
postoperative pain, nerve injury, swelling, edema, teeth damage, tooth, trismus
PERICORONITIS, EDEMA, DISEASES, DENTIGEROUS CYST, IMPACTED, SECONDARY, TRISMUS
Impacted third molars are most commonly found among wisdom teeth and lead to clinical diseases, including pericoronitis, adjacent teeth damage, and dentigerous cyst. However, many patients have fears about tooth extraction due to postoperative pain, swelling, trismus, and nerve injury that severely affects the quality ...
PMC10499349